HomeMy WebLinkAbout0133594-Building (roof)CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 356 W 15TH AVE
Designer
Category 141 -Exterior Remodeling Plan
Type ~ Building Q Sign Q Canopy Q Fence Q Raze
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ^ Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation ~` Poured Concrete. Q Floating Slab Q Pier ; _ Q Other ;
Q Concrete Block Q Post Q Treated Wood '
Occupancy Permit
Park Dedication
Use/Nature:
of Work _'
Occupancy Fee $0.00 Flood Plain -Height Permit:
# Dwelling Units 0, ~ ;: #~tructures 0
/Tear off and replace. roof on house. Removed rooftop antenna t , ~ ,, , ,,,
~~~
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: //
Plumbing Contractor
$2,000.00 Plan Approval $0.00 Permit Fee Paid
^ Permit Voided
$32.00 Park Dedication $0.00
Date 10/20/2008 Final/O.P.00/00/0000
Parcelld # 0904490000
101.65(1 r) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654 (2) (a), the following consequences might occur:
(a) The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work performed under the building permit.
(b) The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub. (1) (a), because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
1 have read anyl1u tang the ofQ~e a tin~ned~i /formation.
Signature `'~..~ ! ~ !~!'!--i Date ~ ~l~
Owner CATHERINE LARSH
Contractor OWNER
No 133594
Create Date 10/20/2008
Agent/Owner
OSHKOSH WI 54902 -6516 Telephone Number
Address 356 W 15TH AVE
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 01HK01N
Fax: (920) 236-5084 o~v r+~t= wvArFR
Roofing & Siding Permit Application
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor DarticiDatinQ in the Permit fee Account Svstem and have adequate funds, check here
if you want this processed through your account
JOB ADDRE(S~S ,3 S f p (+l~ 15~_ 1 f"3VC._
OWNER l In ,~~M~1
CONTRACTOR - 1rJ ~ -
I am the: Owner OR ^ Contractor
USE CATEGORY
~ngle Family ^ Duplex ^Mutti-Family ^ Rental ^ Commercial ^ Industrial
Work being done:
ROOFING
.Tear off and replace existing roofing on ~hease, ^ garage
^ Replace wood decking
^ Add 1 layer of roofing to the existing layer(s) on ^ house, ^ garage
This work is being done due to ^ Hail Damage Other L~ec#.1<L
SIDING
^ Install siding on ^ house, ^ garage
^ Replacing vinyl with vinyl
^ Replacing steel or aluminum with vinyl (circle steel or aluminum)
^ Replacing
with
This work is being done due to ^ Hail Damage ^ Other
When siding is done, one of the boxes below must be checked:
1) ^ Electric -Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ^ Electric Installation Verification form is attached OR ^ Separate Elect Permit will be requested.
2) ^ Electric -Not Applicable because: ^ J Blocks previously installed. ^ No outside lights. ^ Other.
^ Install new or ^ Replace gutters
^ Install new or ^ Replace downspouts
Other related work being done: (please note) ('~~ ,rcx,~}~,p O~.f1~X1nGL
Value of the job $ ~W ~ (include fair market price for labor even if you are not paying for labor) 03/02